-Caveat Lector-

http://www.ushmm.org/research/doctors/Nuremberg_Code.htm

THE NUREMBERG CODE [from Trials of War Criminals before the Nuremberg Military
Tribunals under Control Council Law No. 10. Nuremberg, October 1946–April 1949.
Washington, D.C.: U.S. G.P.O, 1949–1953.]

Permissible Medical Experiments

The great weight of the evidence before us is to the effect that certain types of 
medical
experiments on human beings, when kept within reasonably well-defined bounds, conform
to the ethics of the medical profession generally. The protagonists of the practice of 
human
experimentation justify their views on the basis that such experiments yield results 
for the
good of society that are unprocurable by other methods or means of study. All agree,
however, that certain basic principles must be observed in order to satisfy moral, 
ethical
and legal concepts:

1. The voluntary consent of the human subject is absolutely essential.

This means that the person involved should have legal capacity to give consent; should 
be
so situated as to be able to exercise free power of choice, without the intervention 
of any
element of force, fraud, deceit, duress, over-reaching, or other ulterior form of 
constraint
or coercion; and should have sufficient knowledge and comprehension of the elements of
the subject matter involved as to enable him to make an understanding and enlightened
decision. This latter element requires that before the acceptance of an affirmative 
decision
by the experimental subject there should be made known to him the nature, duration, and
purpose of the experiment; the method and means by which it is to be conducted; all
inconveniences and hazards reasonably to be expected; and the effects upon his health 
or
person which may possibly come from his participation in the experiment.

The duty and responsibility for ascertaining the quality of the consent rests upon each
individual who initiates, directs or engages in the experiment. It is a personal duty 
and
responsibility which may not be delegated to another with impunity.

2. The experiment should be such as to yield fruitful results for the good of society,
unprocurable by other methods or means of study, and not random and unnecessary in
nature.

3. The experiment should be so designed and based on the results of animal
experimentation and a knowledge of the natural history of the disease or other problem
under study that the anticipated results will justify the performance of the 
experiment.

4. The experiment should be so conducted as to avoid all unnecessary physical and 
mental
suffering and injury.

5. No experiment should be conducted where there is an a priori reason to believe that
death or disabling injury will occur; except, perhaps, in those experiments where the
experimental physicians also serve as subjects.

6. The degree of risk to be taken should never exceed that determined by the 
humanitarian
importance of the problem to be solved by the experiment.

7. Proper preparations should be made and adequate facilities provided to protect the
experimental subject against even remote possibilities of injury, disability, or death.

8. The experiment should be conducted only by scientifically qualified persons. The 
highest
degree of skill and care should be required through all stages of the experiment of 
those
who conduct or engage in the experiment.

9. During the course of the experiment the human subject should be at liberty to bring 
the
experiment to an end if he has reached the physical or mental state where continuation 
of
the experiment seems to him to be impossible.

10. During the course of the experiment the scientist in charge must be prepared to
terminate the experiment at any stage, if he has probably cause to believe, in the 
exercise
of the good faith, superior skill and careful judgment required of him that a 
continuation of
the experiment is likely to result in injury, disability, or death to the experimental 
subject.

Of the ten principles which have been enumerated our judicial concern, of course, is 
with
those requirements which are purely legal in nature — or which at least are so clearly
related to matters legal that they assist us in determining criminal culpability and
punishment. To go beyond that point would lead us into a field that would be beyond our
sphere of competence. However, the point need not be labored. We find from the evidence
that in the medical experiments which have been proved, these ten principles were much
more frequently honored in their breach than in their observance. Many of the
concentration camp inmates who were the victims of these atrocities were citizens of
countries other than the German Reich. They were non-German nationals, including Jews
and "asocial persons", both prisoners of war and civilians, who had been imprisoned and
forced to submit to these tortures and barbarities without so much as a semblance of 
trial.
In every single instance appearing in the record, subjects were used who did not 
consent to
the experiments; indeed, as to some of the experiments, it is not even contended by the
defendants that the subjects occupied the status of volunteers. In no case was the
experimental subject at liberty of his own free choice to withdraw from any 
experiment. In
many cases experiments were performed by unqualified persons; were conducted at
random for no adequate scientific reason, and under revolting physical conditions. All 
of the
experiments were conducted with unnecessary suffering and injury and but very little, 
if
any, precautions were taken to protect or safeguard the human subjects from the
possibilities of injury, disability, or death. In every one of the experiments the 
subjects
experienced extreme pain or torture, and in most of them they suffered permanent 
injury,
mutilation, or death, either as a direct result of the experiments or because of lack 
of
adequate follow-up care.

Obviously all of these experiments involving brutalities, tortures, disabling injury, 
and death
were performed in complete disregard of international conventions, the laws and customs
of war, the general principles of criminal law as derived from the criminal laws of all
civilized nations, and Control Council Law No. 10. Manifestly human experiments under 
such
conditions are contrary to "the principles of the law of nations as they result from 
the
usages established among civilized peoples, from the laws of humanity, and from the
dictates of public conscience."

Whether any of the defendants in the dock are guilty of these atrocities is, of course,
another question.

Under the Anglo-Saxon system of jurisprudence every defendant in a criminal case is
presumed to be innocent of an offense charged until the prosecution, by competent,
credible proof, has shown his guilt to the exclusion of every reasonable doubt. And 
this
presumption abides with the defendant through each stage of his trial until such 
degree of
proof has been adduced. A "reasonable doubt" as the name implies is one conformable to
reason — a doubt which a reasonable man would entertain. Stated differently, it is that
state of a case which, after a full and complete comparison and consideration of all 
the
evidence, would leave an unbiased, unprejudiced, reflective person, charged with the
responsibility for decision, in the state of mind that he could not say that he felt 
an abiding
conviction amounting to a moral certainty of the truth of the charge.

If any of the defendants are to be found guilty under counts two or three of the 
indictment it
must be because the evidence has shown beyond a reasonable doubt that such defendant,
without regard to nationality or the capacity in which he acted, participated as a 
principal in,
accessory to, ordered, abetted, took a consenting part in, or was connected with plans 
or
enterprises involving the commission of at least some of the medical experiments and 
other
atrocities which are the subject matter of these counts. Under no other circumstances 
may
he be convicted.

Before examining the evidence to which we must look in order to determine individual
culpability, a brief statement concerning some of the official agencies of the German
Government and Nazi Party which will be referred to in this judgment seems desirable.

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